Sep 28, 2017 12:00 PM CDT Healthcare Forensics Data Mining In this presentation attendees will learn how fraud can wreak havoc on organization financial performance and undermine business objectives. No business is immune from the risks associated with fraud. Health care organizations have some unique and rampant risks for fraud and embezzlement.
Brief outline of the presentation: With stories from the trenches and often overlooked prevention tips, you will be simultaneously educated and entertained during this fast-paced program designed for those with or without an accounting background. Detection of fraud can be a difficult issue, but forensic data mining is a cutting-edge method of detection combining complex tools and mathematical algorithms to identify unusual patterns and other indications of fraudulent activity, particularly in accounts payable, vendor and payroll data.
*Evaluate organizational processes for risks of fraud. Examine trends and new development in embezzlement schemes in health care *Develop advanced fraud prevention & detection methodologies *Examine trends and new development in embezzlement schemes in health care
Target Audience: All internal audit staff and management
This webinar is being presented by Gary Moss with BKD CPAs & Advisors After registering, you will receive a confirmation email containing information about joining the webinar.
Oct 12, 2017 12:00 PM CDT Wage Index: The Last Frontier In this presentation attendees will learn how Medicare, for many hospitals, is the biggest payor and a vital component to the health of their bottom line. With societal and political pressures mounting to reduce a hospital ls reimbursement, now is the time to ensure the “Wage Index” used in calculating your Medicare reimbursement is correct. The Wage Index is one of the last areas that can have a direct impact on your future Medicare payments.
Brief outline of the presentation: *Overview of the Wage Index and how it calculated *Potential impacts to the CBSA *Key Assessment areas *Salaries/Bonuses * Excluded Areas/Non PPS Areas * Hours – Conversion form GL to Payroll data * Contract Labor * Physicians (Part A focused) * Residency programs *Home Office *Clinics/RHC’s *Benefits/allocations
Learning objectives: 1) Understand the theory behind Wage Index adjustments and the components that go into determining your Wage Index value.
2) Learn which operational areas can significantly impact your Wage Index value, and how to incorporate internal review strategies to improve your Wage Index.
3) Examine how changes in your Wage Index impact your facility’s future Medicare payments.
Oct 24, 2017 12:00 PM CDT Protecting Health Care Providers from Cyber & Fraud Threats In this presentation attendees will learn about cyber risk and fraud that pose a major challenge to health care providers. Join BKD to learn more about this informative session and to learn about what you can do to address these key risks.
*Describe how health care providers can protect themselves from cyber & fraud threats * Share best practices in cybersecurity monitoring and incident response * Discuss how your organization can use the latest technology to mitigate fraud risks
Brief outline of the presentation:
Managing cyber risks is a key challenge for health care management and boards. A continual stream of data breaches, hacks and ransomware attacks (e.g. WannaCry) creates enormous challenges for health care providers that aren’t prepared to confront them.
In this webinar, we’ll explore how cyber threats have morphed to create a new sense of urgency and how providers can prepare for, survive and recover from an attack.
Healthcare providers are also at risk of internal fraud and embezzlement. According to the Association of Certified Fraud Examiners Report to the Nations, the average organization loses 5 percent of its annual revenue to fraud. This session will also update you on current trends related to fraud technology and things that you can do to mitigate fraud risks.
The intended audience is: Healthcare administrators, internal audit executives, IT executives
Your webinar presenters are: Jan Hertzberg and Bryan Callahan with BKD CPAs & Advisors After registering, you will receive a confirmation email containing information about joining the webinar.
ov 9, 2017 12:00 PM CDT Finding Gold in Zero Balance Account Reviews In this presentation attendees will be provided a comprehensive report on the often-hidden opportunities that can be identified when reviewing accounts that have been closed and have a zero AR balance. The gold to be mined from this work can be in the form of additional cash that is available from third-party payers as well as specific claim information that provides insight into work flows and processes that can be improved to prevent future claim denials, delays and underpayments.
Brief outline of the presentation: •Establish objectives •Provide an overview of the need for zero balance reviews •Describe short- and long-term objectives of zero balance reviews •Explain the differing opportunities between government and private third-party payers •Review most common reasons impacting the level of payment or non-payment by payers •Describe the resources, both technological and labor-intensive, required to conduct a zero-balance review •Summarize documentation required to file appeals •Wrap up
Learning objectives: •Discover the opportunities in zero-balance account reviews •Understand what is required to conduct such a program •Find out how to determine the ROI for a zero-balance review •Understand the risk of an ineffective program